| Popis: |
Objective To investigate the factors influencing the recovery of intestinal function after operation in neonates with congenital intestinal malrotation. Methods The clinical data of 208 neonates who underwent intestinal malrotation operation in our department from January 2012 to January 2019 were collected and retrospectively analyzed. The factors that might influence the recovery of intestinal function after operation were analyzed. Results Maternal age, hematochezia, pneumonia, albumin at admission, and rotation degree were unrelated to the recovery of intestinal function (P>0.05). Gestational age, birth weight, peritonitis, digestive tract malformation, combined surgery, and proximal diameter of duodenum were positively associated with the recovery (P < 0.05). The negative influencing factors to the time of achieving full enteral nutrition were gestational age (β=-0.206) and birth weight (β=-0.307), and the positively influencing factors were peritonitis(β=0.220), digestive tract malformation (β=0.344), combined surgery (β=0.412) and proximal diameter of duodenum(β=0.238). The results of multiple regression analysis showed that the independent influencing factors for the time of achieve full enteral nutrition were birth weight, peitonitis, combined surgery, and proximal diameter of duodenum (P < 0.05). Conclusion Birth weight, peitonitis, combined surgery, and proximal diameter of duodenum are important factors affecting the recovery of intestinal function in neonates with intestinal malrotation. |
